Organization
ENCORE VISION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALAN BRIDGEWATER O.D. (OWNER)
(480) 513-4899
Entity
Organization
Contact information
Practice address
20201 N SCOTTSDALE HEALTHCARE DR, SUITE 220, SCOTTSDALE, AZ 85255-4134
(480) 513-4899
Mailing address
20201 N SCOTTSDALE HEALTHCARE DR, SUITE 220, SCOTTSDALE, AZ 85255-4134
(480) 513-4899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
724
AZ
Other
Enumeration date
12/29/2006
Last updated
02/27/2008
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